Vaccine respiratory syncytial virus bivalent subunit/preservative free im cost at US hospitals
HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im · CPT 90678
$69.60
lowest cash price
$538.84
national median
$2,043.51
highest cash price
271
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $69.60–$2,043.51 — the variation is the story.
Median cash price over time
Nov 1, 2025 ($290.00) → Sep 1, 2026 ($588.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $1,514.00 | $1,514.00 | $1,514.00 |
| Arizona | 1 | $69.60 | $69.60 | $69.60 |
| California | 57 | $116.55 | $538.84 | $1,274.40 |
| Colorado | 13 | $628.66 | $986.78 | $1,254.75 |
| Florida | 60 | $498.55 | $498.55 | $746.62 |
| Georgia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $721.67 | $721.67 | $721.67 |
| Illinois | 14 | $184.20 | $555.82 | $1,048.25 |
| Indiana | 25 | $588.40 | $588.40 | $659.71 |
| Iowa | 27 | $251.55 | $403.20 | $1,467.45 |
| Kansas | 4 | $361.44 | $361.44 | $361.44 |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Maryland | 1 | $327.00 | $327.00 | $327.00 |
| Michigan | 15 | $300.00 | $300.00 | $300.00 |
| Minnesota | 5 | $300.00 | $517.14 | $517.14 |
| Missouri | 13 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 12 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $391.27 | $531.55 | $849.56 |
| North Carolina | 12 | $624.00 | $624.00 | $624.00 |
| North Dakota | 2 | $403.55 | $403.55 | $847.53 |
| Ohio | 46 | $222.60 | $746.62 | $907.50 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 9 | $321.44 | $1,563.44 | $1,563.44 |
| Pennsylvania | 19 | $177.00 | $504.00 | $672.00 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $370.40 | $449.76 | $493.46 |
| Tennessee | 23 | $291.55 | $321.72 | $331.77 |
| Texas | 90 | $184.08 | $637.20 | $2,043.51 |
| Virginia | 18 | $211.80 | $343.10 | $343.10 |
| Washington | 18 | $147.44 | $521.74 | $698.15 |
| West Virginia | 16 | $271.00 | $271.00 | $649.60 |
| Wisconsin | 23 | $290.00 | $305.10 | $542.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $156.50 – $631.75 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | not published | $328.06 – $823.19 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $158.88 – $823.19 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $156.75 – $1,148.64 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $147.28 – $1,148.64 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $170.65 – $631.75 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $164.33 – $631.75 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $146.63 – $631.75 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $145.81 – $1,148.64 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $158.21 – $1,148.64 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $153.95 – $823.19 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $158.88 – $823.19 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $147.84 – $823.19 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $145.61 – $1,148.64 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $158.88 – $823.19 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $158.88 – $823.19 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $158.88 – $823.19 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $170.65 – $631.75 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $631.75 – $1,148.64 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $631.75 – $1,148.64 |
| HCA HealthONE AURORA | Aurora, CO | not published | $631.75 – $1,148.64 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $338.21 – $831.56 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $338.21 – $831.56 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $287.48 – $1,014.63 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $287.48 – $1,014.63 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $253.66 – $1,014.63 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $328.06 – $1,014.63 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $287.48 – $1,148.64 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $312.69 – $1,014.63 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $287.48 – $1,014.63 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | not published | $253.66 – $1,014.63 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $265.79 – $1,014.63 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $303.32 – $359.95 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $328.06 – $359.95 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $354.00 – $835.16 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $422.91 – $1,014.63 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $422.91 – $1,014.63 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $422.91 – $1,014.63 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $422.91 – $1,014.63 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $422.91 – $1,014.63 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $422.91 – $1,014.63 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $422.91 – $1,014.63 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $422.91 – $1,014.63 |